Table 2.
| Upper motor neuron | Lower motor neuron | |
|---|---|---|
| Characteristic | Frequent urges, small voids | Overdistension |
| Goal | Improve storage by | Improve emptying by |
| a) Reducing “overactive” bladder symptoms | a) Increasing bladder contraction | |
| b) Increasing urethral resistance | b) Reducing urethral resistance | |
| Behavioral | - Timed toileting | - Crede or double void |
| - Biofeedback | - Biofeedback | |
| - Electrical stimulation | - Electrical stimulation | |
| - Dietary modifications | - Dietary modifications | |
| - Pelvic floor therapy | - Pelvic floor therapy | |
| Medications | a) Anticholinergics | a) Cholinergics |
| b) Alpha agonists | b) α blocker or β agonists | |
| c) Botulinum toxin | ||
| Other: | Intermittent catheterization may be used for both conditions |